Status:
RECRUITING
Effect of Bilateral Ultrasound-Guided TAP Block on Quality of Recovery in Cesarean Delivery Patients Receiving Intrathecal Morphine
Lead Sponsor:
MEHMET GÖKHAN TAFLAN
Conditions:
Postoperative Pain Management
Obstetric Anesthesia
Eligibility:
FEMALE
18-45 years
Brief Summary
This prospective, assessor-blinded observational cohort study will investigate the effect of adding bilateral ultrasound-guided transversus abdominis plane (TAP) block to standard intrathecal morphine...
Detailed Description
Effective postoperative analgesia is essential for optimizing maternal recovery after cesarean delivery, promoting early mobilization, and supporting breastfeeding initiation. Spinal anesthesia with i...
Eligibility Criteria
Inclusion
- Female patients aged 18-45 years
- Singleton pregnancy
- ASA physical status II-III
- Scheduled elective lower segment cesarean delivery under spinal anesthesia with intrathecal morphine (ITM) as standard care
- Able to understand study procedures, provide written informed consent, and reliably use IV PCA
- Able to complete ObsQoR-10-T assessments (with trained assistance if needed)
Exclusion
- Contraindication to spinal anesthesia or TAP block (e.g., infection at injection site, coagulopathy, allergy to local anesthetics)
- Chronic opioid use or opioid/alfa-2 agonist intolerance
- Severe preeclampsia, HELLP syndrome, significant hepatic or renal impairment
- Urgent or emergent cesarean section (Category 1)
- Cognitive impairment or communication difficulty preventing accurate assessment
- Prior major abdominal surgery (other than previous cesarean delivery)
- Body mass index (BMI) \> 40 kg/m²
- Major psychiatric illness (e.g., major depressive disorder, generalized anxiety disorder, psychosis) that may affect pain perception or quality of recovery
Key Trial Info
Start Date :
September 1 2025
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
February 25 2026
Estimated Enrollment :
150 Patients enrolled
Trial Details
Trial ID
NCT07145619
Start Date
September 1 2025
End Date
February 25 2026
Last Update
December 16 2025
Active Locations (1)
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1
Samsun University Training and Research Hospital
Samsun, Samsun, Turkey (Türkiye), 55090